Bundrick T, Cho S R, Ammann A, Walsh J W
Br J Radiol. 1983 Jan;56(661):13-6. doi: 10.1259/0007-1285-56-661-13.
Forty documented cases of intraperitoneal carcinomatosis were studied to examine the incidence of common consistently useful radiographic signs. Twenty-four (60%) were radiographically positive. Ten of 19 barium enema examinations (53%) revealed metastatic implant(s) on the colon. This proved to be the most common finding of intraperitoneal carcinomatosis. Other radiographic findings included ascites in 14 patients (35%) and small bowel obstruction in five (13%). A new sign of intraperitoneal carcinomatosis termed "fixed colon" sign is discussed. Seven of 19 cases (37%) with lower GI series demonstrated this sign. Barium enema examination has a high yield in demonstrating intraperitoneal carcinomatosis.
对40例有记录的腹膜种植转移病例进行研究,以检查常见且持续有用的影像学征象的发生率。24例(60%)影像学检查呈阳性。19例钡剂灌肠检查中有10例(53%)显示结肠有转移性种植灶。这被证明是腹膜种植转移最常见的表现。其他影像学表现包括14例患者(35%)有腹水,5例(13%)有小肠梗阻。文中讨论了一种称为“固定结肠”征的腹膜种植转移新征象。19例下消化道造影病例中有7例(37%)显示了这一征象。钡剂灌肠检查在显示腹膜种植转移方面有较高的阳性率。